Addiction and Psychological Pain

During the many years I spent working in the addiction and mental health field, first as a neuroscientist and later helping empower people to facilitate their recovery (healing), I rarely heard the word ‘trauma’ being used.

Few practitioners I met mentioned that the person with the substance use problem might be self-medicating to ameliorate psychological pain. And yet in society, there were plenty of people visiting their doctor and obtaining a prescription of benzodiazepines such as librium, which are highly addictive substances, or antidepressants, which also produce problems, to help them deal with unpleasant psychological states of anxiety or depression.

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Factors Facilitating Recovery: Understanding

Here is the next section from my chapter Factors Facilitating Recovery in  my eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction.

Understanding is essential for recovery. People with substance use problems and those on a recovery journey need information and education about a variety of matters, including: the nature of addiction and their own substance use problems; the range of interventions they can use to help them overcome or manage these problems; opportunities that allow them to exercise their strengths and assets; supports they can use to facilitate their recovery journey, and self-management skills that help them cope with situations that might lead to relapse. 

Recovering people are a major source of information that can facilitate another person’s recovery journey.

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Psychiatry Must Stop Ignoring Trauma, with Dr. Bessel van der Kolk

Acclaimed psychiatrist Bessel van der Kolk explores his field’s long, complex, and stubborn history with trauma. Dr. van der Kolk explains how psychiatry as a whole avoided progress, often misdiagnosing trauma as hysteria or, in the case of shell-shocked soldiers, malingering.

The experiences of abused women and children were more or less ignored for a century. They’re still being ignored in ways, he says.

Behind the Pages with Bessel Van Der Kolk, MD

“The vast majority of drug abuse is associated with earlier trauma. It’s very rare to see somebody who becomes a drug addict who not also has a history of abuse and neglect.” Bessel Van Der Kolk, MD

Behind The Pages host Diane Goshgarian interviews author Bessel Van Der Kolk, MD about his new book The Body Keeps The Score: Brain, Mind, and Body in the Healing of Trauma. Interview recorded at 22-CityView Cambridge on October 08, 2014.

As I said last week, this book is essential reading if you are working in the mental health and addiction fields.

Understanding Psychosis and Schizophrenia

understanding“An individual having unusual difficulties in coping with his environment struggles and kicks up the dust, as it were. I have used the figure of a fish caught on a hook: his gyrations must look peculiar to other fish that don’t understand the circumstances; but his splashes are not his affliction, they are his effort to get rid of his affliction and as every fisherman knows these efforts may succeed.” Karl Menninger

What would happen if a team of highly qualified psychologists joined up with a team of people who knew psychosis from the inside, from their own journey into madness and then recovery – and if they collaborated in writing a guide to understanding the difficult states that get names like “psychosis” and schizophrenia”?

Well, you don’t have to wonder anymore, because the result was published a couple of days ago in the form of a report (180 pages) that is free to download. This report is well worth reading. Here’s a summary:

‘Executive Summary
This report describes a psychological approach to experiences that are commonly thought of as psychosis, or sometimes schizophrenia. It complements parallel reports on the experiences commonly thought of as bipolar disorder and depression.

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‘How People-Pleasing Destroys Your Authentic Self’ by Shahida Arabi

stringsI like this piece of writing from the Self-Care Haven, a website developed by a graduate student at Columbia University in the States.

This article is one for your self-care collection. It’s easy to start people pleasing in recovery, particularly when you are worried about stigma in society.

‘ARE YOU A PEOPLE-PLEASER?
Symptoms include but are not limited to: saying yes when you really mean no, allowing people to trample all over your boundaries on a weekly basis without asserting yourself, and “performing” character traits or behaviors that do not speak to your authentic self.

Can cause high blood pressure and stewing resentment that festers for years until the “last straw,” at which point, sounds of an explosion erupt. You’re so tired of being Jekyll all the time you become the worst version of Hyde possible to let out all the steam that was simmering within all along.

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‘Stuck not broke’ by AntiHero79

IMG_1870Hello, as this is my first entry I’ll (try to) keep it short. I am two and a half years into my recovery. I’d love to say that it’s all plain sailing, but in fact has been the darkest and most confusing time of my life up to now.

“I always knew I was different”… Well it’s true, I did. Always felt apart, weird, somehow isolated from even my closest friends. I had a rough childhood, no doubt about it, and when I found drink and drugs it was like I was liberated.

My first round of addiction (to cannabis, from age 14 – 15) saw me walking round school in a virtual coma. In retrospect, it must’ve looked like there was something severely wrong with me. There was, I know now. As a nine year old, I was molested by a family ‘friend’. It was reported to the police but stopped there. Lack of evidence.

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‘Addiction: Problems behind the problem’ by Recovery Coach

P1010092I was pretending to be Superman when my mother’s frantic cries for help brought a sudden halt to my game. I ran towards the kitchen faster than a speeding bullet. But a Superman t-shirt with a bath towel tucked into the collar didn’t give me superhuman strength.

Peering just below the vinyl seat of our yellow kitchen chairs, my eyes widened as Dad pinned my mother to the cold linoleum floor. He was a large man, standing 6’1″, and Mum was 4’6″. The image seemed surreal, like a horror movie, and I stood frozen in fear.

There was an odor of carnage as Dad hovered over her. Maybe it was the mixture of sweat and testosterone rising from his green work shirt. Pure, unfiltered terror flooded my body and my heart beat so fast it seemed to smash against my ribs.

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